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Many real-world image recognition problems, such as diagnostic medical imaging exams, are "long-tailed" $\unicode{x2013}$ there are a few common findings followed by many more relatively rare conditions. In chest radiography, diagnosis is…

We present VinDr-CXR-VQA, a large-scale chest X-ray dataset for explainable Medical Visual Question Answering (Med-VQA) with spatial grounding. The dataset contains 17,597 question-answer pairs across 4,394 images, each annotated with…

Computer Vision and Pattern Recognition · Computer Science 2025-11-11 Dang H. Nguyen , Hieu H. Pham , Hao T. Nguyen , Hieu H. Pham

Vision-language models (VLMs) exhibit strong zero-shot generalization on natural images and show early promise in interpretable medical image analysis. However, existing benchmarks do not systematically evaluate whether these models truly…

Computer Vision and Pattern Recognition · Computer Science 2025-06-02 Tianhong Zhou , Yin Xu , Yingtao Zhu , Chuxi Xiao , Haiyang Bian , Lei Wei , Xuegong Zhang

The chest X-ray (CXR) is commonly employed to diagnose thoracic illnesses, but the challenge of achieving accurate automatic diagnosis through this method persists due to the complex relationship between pathology. In recent years, various…

Image and Video Processing · Electrical Eng. & Systems 2023-05-23 Weizhi Nie , Chen Zhang , Dan song , Yunpeng Bai , Keliang Xie , Anan Liu

Recent Large Vision-Language Models (LVLMs) have shown promising reasoning capabilities on text-rich images from charts, tables, and documents. However, the abundant text within such images may increase the model's sensitivity to language.…

Computer Vision and Pattern Recognition · Computer Science 2024-12-24 Xinmiao Yu , Xiaocheng Feng , Yun Li , Minghui Liao , Ya-Qi Yu , Xiachong Feng , Weihong Zhong , Ruihan Chen , Mengkang Hu , Jihao Wu , Dandan Tu , Duyu Tang , Bing Qin

Chest X-ray (CXR) interpretation is hindered by the long-tailed distribution of pathologies and the open-world nature of clinical environments. Existing benchmarks often rely on closed-set classes from single institutions, failing to…

Computer Vision and Pattern Recognition · Computer Science 2026-03-18 Hexin Dong , Yi Lin , Pengyu Zhou , Xuan Zhong Feng , Alan Clint Legasto , Mingquan Lin , Hao Chen , Yuzhe Yang , George Shih , Yifan Peng

Background: The rapid integration of foundation models into clinical practice and public health necessitates a rigorous evaluation of their true clinical reasoning capabilities beyond narrow examination success. Current benchmarks,…

Computer Vision and Pattern Recognition · Computer Science 2025-12-30 Dingyu Wang , Zimu Yuan , Jiajun Liu , Shanggui Liu , Nan Zhou , Tianxing Xu , Di Huang , Dong Jiang

Medical Image Quality Assessment (IQA) serves as the first-mile safety gate for clinical AI, yet existing approaches remain constrained by scalar, score-based metrics and fail to reflect the descriptive, human-like reasoning process central…

AI-assisted report generation offers the opportunity to reduce radiologists' workload stemming from expanded screening guidelines, complex cases and workforce shortages, while maintaining diagnostic accuracy. In addition to describing…

Existing medical reasoning benchmarks for vision-language models primarily focus on analyzing a patient's condition based on an image from a single visit. However, this setting deviates significantly from real-world clinical practice, where…

Computer Vision and Pattern Recognition · Computer Science 2025-09-30 Junyi Zhang , Jia-Chen Gu , Wenbo Hu , Yu Zhou , Robinson Piramuthu , Nanyun Peng

Although large visual-language models (LVLMs) have demonstrated strong performance in multimodal tasks, errors may occasionally arise due to biases during the reasoning process. Recently, reward models (RMs) have become increasingly pivotal…

Computer Vision and Pattern Recognition · Computer Science 2025-03-11 Jiacheng Ruan , Wenzhen Yuan , Xian Gao , Ye Guo , Daoxin Zhang , Zhe Xu , Yao Hu , Ting Liu , Yuzhuo Fu

Medical vision--language models (VLMs) have shown strong potential for medical visual question answering (VQA), yet their reasoning remains largely text-centric: images are encoded once as static context, and subsequent inference is…

Computer Vision and Pattern Recognition · Computer Science 2026-04-14 Suyang Xi , Songtao Hu , Yuxiang Lai , Wangyun Dan , Yaqi Liu , Shansong Wang , Xiaofeng Yang

Visual-Interleaved Chain-of-Thought (VI-CoT) enables Multi-modal Large Language Models (MLLMs) to continually update their understanding and decision space based on step-wise intermediate visual states (IVS), much like a human would, which…

Computer Vision and Pattern Recognition · Computer Science 2025-12-30 Xuecheng Wu , Jiaxing Liu , Danlei Huang , Yifan Wang , Yunyun Shi , Kedi Chen , Junxiao Xue , Yang Liu , Chunlin Chen , Hairong Dong , Dingkang Yang

Recent advances in vision-language models (VLMs) have achieved remarkable performance on standard medical benchmarks, yet their true clinical reasoning ability remains unclear. Existing datasets predominantly emphasize classification…

Computer Vision and Pattern Recognition · Computer Science 2026-05-20 Miao Jing , Mengting Jia , Junling Lin , Zhongxia Shen , Huan Gao , Mingkun Xu , Shangyang Li

Recent advancements in multimodal slow-thinking systems have demonstrated remarkable performance across various visual reasoning tasks. However, their capabilities in text-rich image reasoning tasks remain understudied due to the absence of…

Machine Learning · Computer Science 2026-05-27 Mingxin Huang , Yongxin Shi , Dezhi Peng , Songxuan Lai , Zecheng Xie , Lianwen Jin

While multimodal large language models (MLLMs) exhibit strong performance on single-video tasks (e.g., video question answering), their capability for spatiotemporal pattern reasoning across multiple videos remains a critical gap in pattern…

Computer Vision and Pattern Recognition · Computer Science 2026-01-07 Nannan Zhu , Yonghao Dong , Teng Wang , Xueqian Li , Shengjun Deng , Yijia Wang , Zheng Hong , Tiantian Geng , Guo Niu , Hanyan Huang , Xiongfei Yao , Shuaiwei Jiao

In this study, we present Colon-X, an open initiative aimed at advancing multimodal intelligence in colonoscopy. We begin by constructing ColonVQA, the most comprehensive multimodal dataset ever built for colonoscopy, featuring over 1.1M+…

Computer Vision and Pattern Recognition · Computer Science 2026-03-17 Ge-Peng Ji , Jingyi Liu , Deng-Ping Fan , Huazhu Fu , Nick Barnes

Recent advancements in Vision-Language (VL) research have sparked new benchmarks for complex visual reasoning, challenging models' advanced reasoning ability. Traditional Vision-Language Models (VLMs) perform well in visual perception tasks…

Computer Vision and Pattern Recognition · Computer Science 2024-09-24 Zhiyuan Li , Dongnan Liu , Chaoyi Zhang , Heng Wang , Tengfei Xue , Weidong Cai

Spatial reasoning has emerged as a critical capability for Multimodal Large Language Models (MLLMs), drawing increasing attention and rapid advancement. However, existing benchmarks primarily focus on single-step perception-to-judgment…

Computer Vision and Pattern Recognition · Computer Science 2026-01-15 Rui Zhu , Xin Shen , Shuchen Wu , Chenxi Miao , Xin Yu , Yang Li , Weikang Li , Deguo Xia , Jizhou Huang

Vision-Language Models (VLMs) have enabled interpretable medical diagnosis by integrating visual perception with linguistic reasoning. Yet, existing medical chain-of-thought (CoT) models lack explicit mechanisms to represent and enforce…

Artificial Intelligence · Computer Science 2026-05-29 Jianxin Lin , Chunzheng Zhu , Peter J. Kneuertz , Yunfei Bai , Yuan Xue